The nurse is caring for a pregnant client who is taking Humira (adalimumab) to control symptoms of rheumatoid arthritis

The client mentions the pain and inconvenience of the subcutaneous injections and asks, "While I'm pregnant, can I take this drug by mouth instead?" What is the nurse's best response? a. "I will ask the physician to write a pre-scription for you today."
b. "Humira takes much longer to work when it is given orally."
c. "Humira can be given only by subcutane-ous injection."
d. "You can switch from Humira to oral lef-lunomide (Arava)."


C
Humira is given by subcutaneous injection only. Arava causes birth defects; clients taking it must be on strict birth control and must inform their health care providers if pregnancy occurs.

Nursing

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When the newborn female is born with ambiguous genitalia, the follow-up investigation discovers adrenogenital syndrome (also called congenital adrenal hyperplasia). The parents question why the baby's genitalia looks more male than female

The nurse would explain that: 1. The disorder caused the infant to be a hermaphrodite with both male and female sex organs. 2. The changes in the genitalia are due to increased androgens secondary to deficient cortisol. 3. The excessive cortisol caused the enlargement of the female tissue, creating a male appearance. 4. The child has only one sex chromosome resulting in an XO configuration.

Nursing

Prepare a 50 mg dose from a label reading 100 mg tabs

What will be an ideal response?

Nursing

Which symptoms seen in a nurse would suggest compassion fatigue? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. Difficulty separating work from personal life 2. Excessive high tolerance for frustration 3. Having a completely laissez-faire attitude 4. Decreased functioning in nonprofessional situations 5. Dreads working with certain types of patients

Nursing

Which term describes a condition that is the result of the enlargement of, and damage to, the alveolar sacs?

A. emphysema B. pleurisy C. bronchitis D. pneumonia

Nursing